Exam 34: Nursing Care of Patients With Lower Gastrointestinal Disorders

The nurse is contributing to the plan of care for patient with an ostomy.Why should the nurse recommend the use of a skin barrier product under the ostomy appliance?

The nurse is teaching a patient newly diagnosed with ulcerative colitis about triggers for exacerbation of the disease.What should the nurse urge the patient to do to prevent a future exacerbation? (Select all that apply.)

The nurse is reinforcing patient teaching on the best way to prevent transmission of infectious diarrhea.Which patient statement indicates correct understanding of the teaching?

The nurse is monitoring a patient and finds a bulging area in the patient's groin.Which additional finding should cause the nurse the most concern?

The nurse provides teaching to a patient prescribed budesonide (Entocort EC)for Crohn's disease inflammation.Which patient statements indicate that more teaching is necessary? (Select all that apply.)

The nurse is collecting data from a newly admitted patient.Which finding should the nurse identify as a risk factor for constipation?

A patient with Crohn's disease is scheduled for an ileoanal pouch.What should the nurse include when teaching the patient about this surgery? (Select all that apply.)

The nurse is caring for a patient with an absorption disorder.What term should the nurse use to document fat in the patient's stool?

The nurse is evaluating a patient's ability to change an ostomy appliance.Which observation indicates that the patient can safely provide self-ostomy care?

The nurse is caring for a patient admitted with a possible bowel obstruction.Which patient symptom should cause the nurse the most concern?

The nurse is contributing to the plan of care for a patient with gluten enteropathy (celiac disease).What should the nurse recommend be eliminated from the diet of the patient?

While receiving report from the previous shift,the nurse is informed that a nasogastric tube was placed in a patient who has a bowel obstruction.For which reason should the nurse realize the tube was inserted?

The nurse is caring for a patient who is being screened for diverticulosis.Which patient statement indicates understanding of conditions that predispose to diverticulosis?

The nurse is caring for a patient who has an ileostomy and feels crampy.The nurse notes that the stoma has become edematous and pale and suspects a blockage.What action should the nurse take?

The nurse is monitoring a patient recovering from an emergency appendectomy.Which finding should be reported to the physician immediately?

The nurse is teaching a patient with diverticulosis how to avoid complications.Which patient statement indicates that teaching has been effective?

The spouse of a patient with an ascending ostomy asks if the patient will always have to wear a pouch.What response should the nurse make?

A patient with a colostomy says,"My pouch blows up like a balloon when I pass gas." What is an appropriate response by the nurse?

The nurse notes that a patient with a history of a myocardial infarction is straining during defecation.Which response by the nurse is best?

The nurse is caring for a patient who reports feeling constipated,yet passes frequent small liquid stools.Which action should the nurse take?